自体结膜角巩膜缘移植治疗原发性翼状胬肉

Limbal-conjunctival autograft transplantation for the management of primary pterygium

目的：评价自体结膜角巩膜缘移植术治疗原发性翼状胬肉的有效性。 方法：原发性翼状胬肉患者15例（15眼），接受自体结膜角巩膜缘移植术。切除翼状胬肉后，植片的角膜缘部分与翼状胬肉切除处的角膜缘对位缝合，植片的上皮面向上。纤维血管组织在原翼状胬肉区遮盖角膜1mm以上定为复发。 结果：随访平均8mo，所有的患者既无一例复发也无并发症发生。 结论：单纯翼状胬肉切除联合自体结膜角巩膜缘移植是一种治疗原发性翼状胬肉安全有效的手术方法。

AIM： To investigate the efficiency of limbal conjunctival autografting technique in patients with primary pterygium. METHODS： Fifteen eyes of 15 patients with primary pterygium underwent surgery for the removal of pterygium with limbal conjunctival autograft. After the pterygium excision, the limbal portion of the graft was oriented and sutured to the limbus at the recipient bed with the epithelial surface upside. Recurrence was defined as fibrovascular tissue of more than 1 mm over the cornea in the area of previous pterygium excision. RESULTS： With mean follow-up period of 8 months, neither recurrences nor serious complications were recorded among our patients. CONCLUSION： Simple excision followed by limbal- conjunctival autograft transplantation is a safe and very effective way of treating primary pterygium.